NPI | 1285774554 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ nn107183) |
Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: NJ NN107183) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ NN107183) | |
163WD0400X Registered Nurse, Diabetes Educator (Licence: NJ NO107183) | |
Enumeration Date | 2007-02-07 |
Last Update Date | 2021-11-11 |